Organization Active NPI

South Cove Community Health Center, Inc.

Federally Qualified Health Center (FQHC)
Boston, MA

National Provider Identifier

1700801263

Registry record updated Apr 6, 2026

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Ownership & related parties
Practitioners & affiliated clinicians
NPI Registry JSON
Other providers in Boston, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License: 4140 Issued in MA
Legal business name: SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Practice address: 885 Washington St
Boston, MA 02111-1416
Phone: (617) 521-6800
Fax: (617) 521-6899
NPI assigned: Jul 13, 2006
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name: Eric Tiberi
Title: Ceo
Phone: (617) 521-6708

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Federally Qualified Health Center (FQHC)	261QF0400X	4140	MA	Primary

Addresses

Primary practice location

885 Washington St
Boston, MA 02111-1416

Mailing address

145 South St
Boston, MA 02111-2826
Phone (617) 521-6713

Other practice location 1

277 Commercial St
Malden, MA 02148-6708
Phone (781) 912-2500

Other practice location 2

145 South St
Boston, MA 02111-2826
Phone (617) 521-6700

Other practice location 3

435 Hancock St
Quincy, MA 02171-2428
Phone (617) 318-3300

Other practice location 4

88 Holmes St
Quincy, MA 02171-2431
Phone (617) 318-3200

Other identifiers 4

Identifier	Type	State	Issuer
1301586	Medicaid	MA
M11630	Other	MA	BCBS
0006779	Other	MA	NHP
705186	Other	MA	TUFTS

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Enrolled in MA6 enrollments

Enrollment records 6

Enrollment ID	State	Provider type	PAC ID	Details
O20040323001166	MA	Part B Supplier - Clinic/Group Practice	8325939952	Receives reassigned benefits from 31 practitioners Practice locations: Quincy, MA; Malden, MA; Boston, MA
O20101103001151	MA	Part A Provider - Federally Qualified Health Center (FQHC)	8325939952	Practice locations: Boston, MA
O20110103000087	MA	Part A Provider - Federally Qualified Health Center (FQHC)	8325939952	Practice locations: Quincy, MA
O20111101000605	MA	Part A Provider - Federally Qualified Health Center (FQHC)	8325939952	Practice locations: Boston, MA
O20131223000433	MA	Part A Provider - Federally Qualified Health Center (FQHC)	8325939952	Practice locations: Quincy, MA
O20180607001018	MA	Part A Provider - Federally Qualified Health Center (FQHC)	8325939952	Practice locations: Malden, MA

Federally qualified health center certification: CCN 221821

Legal name: SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status: Active
Provider type (POS): Federally qualified health center
Participating since: Oct 1, 1991
Last certification: Oct 1, 1991
Ownership / control type: For profit – partnership
Organization structure: CorporationNon-profit
Incorporated: May 9, 1972 in MA
Enrollment address: 885 Washington St
Boston, MA 21111415

Federally qualified health center certification: CCN 221894

Legal name: SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status: Active
Provider type (POS): Federally qualified health center
Participating since: Jan 24, 2011
Last certification: Jan 24, 2011
Ownership / control type: For profit – corporation
Organization structure: CorporationNon-profit
Incorporated: May 9, 1972 in MA
Enrollment address: 435 Hancock St
Quincy, MA 21712428

Federally qualified health center certification: CCN 221885

Legal name: SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status: Active
Provider type (POS): Federally qualified health center
Participating since: Jan 24, 2011
Last certification: Jan 24, 2011
Ownership / control type: For profit – corporation
Organization structure: CorporationNon-profit
Incorporated: May 9, 1972 in MA
Enrollment address: 145 South St
Boston, MA 21112826

Federally qualified health center certification: CCN 221918

Legal name: SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status: Active
Provider type (POS): Federally qualified health center
Participating since: Dec 30, 2013
Last certification: Dec 30, 2013
Ownership / control type: For profit – corporation
Organization structure: CorporationNon-profit
Incorporated: May 9, 1972 in MA
Enrollment address: 88 Holmes St
Quincy, MA 21712431

Federally qualified health center certification: CCN 221950

Legal name: SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status: Active
Provider type (POS): Federally qualified health center
Participating since: Jun 11, 2018
Last certification: Jun 11, 2018
Ownership / control type: For profit – corporation
Organization structure: CorporationNon-profit
Incorporated: May 19, 1972 in MA
Enrollment address: 277 Commercial St
Malden, MA 21486708

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

South Cove Community Health Center, Inc.
- Community/Retail Pharmacy
- Boston, MA
- NPI 1235985193
8325939952
Same PAC ID

National Provider Directory

Locations

88 Holmes St
Quincy, MA 02171
Phone (617) 318-3200

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Name	Role	Since
Cindy Chen Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 2003
May Kwan Individual	Corporate DirectorDirector	Jul 1, 2022
	Corporate Director	Dec 13, 2022
	Corporate DirectorDirector	Jan 1, 2023
	Corporate DirectorDirector	Dec 13, 2022
Mai Du Individual	Corporate DirectorDirector	Jul 1, 2011
	Corporate DirectorDirector	Jul 1, 2016
	Corporate DirectorDirector	Jul 1, 2014
	Corporate DirectorBoard Member	Jul 1, 2011
I-Min Lee Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 2006
David Yee Individual	Corporate DirectorDirector	Jul 1, 2014
	Corporate DirectorDirector	Jul 1, 2016
	Corporate DirectorDirector	Jul 1, 2005
	Corporate DirectorBoard Member	Jul 1, 2005
Eric Tiberi Individual	Corporate OfficerChief Executive Officer	Jan 1, 2023
Eric Tiberi Individual	W-2 Managing EmployeeChief Executive Officer	Jan 1, 2023
Peter NG Individual	Corporate DirectorDirector	Jul 1, 2017
	Corporate DirectorDirector	Jan 1, 2017
	Corporate DirectorBoard Member	Jul 1, 2017
April Tang Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 1975
Thomas Birch Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 2000
Thuy Tran Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 2007
Alvin Wing Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 2006
CHI Ma Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 1991
Stephen V Tang Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 1973
Herman G Lee Individual	Corporate Director	Oct 27, 2010
	Corporate Director	Dec 1, 2010
	Corporate DirectorDirector	Dec 1, 2010
	Corporate DirectorBoard Member	Jul 1, 1973
Susan Chinsen Individual	Corporate DirectorDirector	Jul 1, 2016
	Corporate DirectorDirector	Jul 1, 2014
	Corporate DirectorBoard Member	Jul 1, 2014
Meei-Huey Li Individual	Corporate DirectorDirector	Jul 1, 2012
	Corporate DirectorDirector	Jul 1, 2016
	Corporate DirectorBoard Member	Jul 1, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Stephen V. Tang, MD
- Dermatology Physician
- Quincy, MA
- NPI 1578673190
Corporate Director
CMS ownership

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Hongxia Li Chen, O.D.
- Optometrist
- Boston, MA
- NPI 1457573214
Medicare reassignment Care Compare group NPD
Xiangxin Chen, M.D.
- Family Medicine Physician
- Boston, MA
- NPI 1023279379
Medicare reassignment Care Compare group NPD
Anita Cheng, MD
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1578912309
Medicare reassignment Care Compare group NPD
Lucy Y Chie, M.D.
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1881709772
Medicare reassignment Care Compare group NPD
Rong J Guan, M.D.
- Internal Medicine Physician
- Boston, MA
- NPI 1760439921
Medicare reassignment Care Compare group NPD
Qiyue Hu, M.D.
- Internal Medicine Physician
- Quincy, MA
- NPI 1699733089
Medicare reassignment Care Compare group NPD
Kevin K Hui, M.D.
- Family Medicine Physician
- Boston, MA
- NPI 1619303153
Medicare reassignment Care Compare group NPD
Chia Wen Lee, M.D.,
- Internal Medicine Physician
- Boston, MA
- NPI 1912210121
Medicare reassignment Care Compare group NPD
Gail G Lee, M.D.
- Internal Medicine Physician
- Boston, MA
- NPI 1003840836
Medicare reassignment Care Compare group NPD
Ivy Htet Lee, M.D.
- Internal Medicine Physician
- Malden, MA
- NPI 1578959292
Medicare reassignment Care Compare group NPD
Lin-Yuh Jenny Lee, MD
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
- NPI 1386616670
Medicare reassignment Care Compare group NPD
Minping Liu, M.D.
- Internal Medicine Physician
- Boston, MA
- NPI 1417966557
Medicare reassignment Care Compare group NPD

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1700801263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112826",
            "telephone_number": "617-521-6713",
            "fax_number": "617-521-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111416",
            "telephone_number": "617-521-6800",
            "fax_number": "617-521-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486708",
            "country_code": "US",
            "telephone_number": "781-912-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 South St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021112826",
            "country_code": "US",
            "telephone_number": "617-521-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021712428",
            "country_code": "US",
            "telephone_number": "617-318-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021712431",
            "country_code": "US",
            "telephone_number": "617-318-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH COVE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "TIBERI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-521-6708"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301586",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M11630",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0006779",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "705186",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.